CLINIC BY THE SEA LLC - NPI 1477561306 - Internal Medicine in Lewes, DE

Q: What is Clinic By The Sea LLC's NPI number?

The NPI number for Clinic By The Sea LLC is 1477561306. It was assigned to this organization in the NPPES registry on August 4, 2006.

Q: What is Clinic By The Sea LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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About Clinic By The Sea Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINIC BY THE SEA LLC (NPI 1477561306) is a healthcare organization registered as a cardiovascular disease in Lewes, Delaware and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Georges A Dahr, Co President, as its authorized official.

NPPES Registry Identity

NPI1477561306

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameCLINIC BY THE SEA LLC

Location Address16295 WILLOW CREEK RDLewes, DE 19958-3614

Mailing Address16295 Willow Creek RdLewes, DE 19958-3614 · (302) 644-0999 · Fax (302) 644-3099

Phone(302) 644-0999

Fax(302) 644-3099

Organization SubpartNo

Authorized OfficialGeorges A DahrCo President · (302) 644-0999

Enumeration DateAugust 4, 2006

Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1477561306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in DE · C1-0005201

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

16295 WILLOW CREEK RD, Lewes, DE 19958

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Other Identifiers 1

Medicaid1000015445DE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D2039559

Clinic By The Sea · Lewes, DE

Active · expires Apr 11, 2028

CLIA Number08D2039559

Laboratory TypePhysician Office

Certificate Effective DateApril 12, 2026

Certificate Expiration DateApril 11, 2028

Laboratory DirectorDr. Zeina E. Jeha

Laboratory Phone(302) 644-0999

Laboratory LocationClinic By The Sea16295 Willow Creek Road, Lewes, DE 19958

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PRAVEEN GEORGE MD

Internal Medicine (Cardiovascular Disease)